MALIGNANT MESOTHELIOMA OF TUNICA VAGINALIS TESTIS: A FATAL CASE WITH LIVER METASTASIS

Malignant mesothelioma of the tunica vaginalis testis is a rare tumor that usually presents as a benign hydrocele but may give the clinical impression of testicular tumor.1 Cases in the world literature total 80.1, 2 The only established risk factor is asbestos exposure, which was present in 34% of the patients whose history was reported.1 Of 62 patients with followup 33 (53%) had recurrence and 24 (39%) died. We report the twenty-fifth fatal case of this tumor and the third to metastasize to the liver.3